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Molecular Characterization and Antimicrobial Susceptibilities of Nocardia Species Isolated from the Soil; a Comparison with Species Isolated from Humans

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microorganisms Article Molecular Characterization and Antimicrobial Susceptibilities of Nocardia Species Isolated from the Soil; A Comparison with Species Isolated from Humans Gema Carrasco 1, Sara Monzón 2, María San Segundo 1, Enrique García 3, Noelia Garrido 1, María J. Medina-Pascual 1, Pilar Villalón 1 , Ana Ramírez 3, Pilar Jiménez 4, Isabel Cuesta 2 and Sylvia Valdezate 1,* 1 Reference and Research Laboratory for Taxonomy, National Centre of Microbiology, Instituto de Salud Carlos III, Majadahonda, 28220 Madrid, Spain; [email protected] (G.C.); [email protected] (M.S.S.); [email protected] (N.G.); [email protected] (M.J.M.-P.); [email protected] (P.V.) 2 Bionformatics Unit, Applied Services, Training and Research, Instituto de Salud Carlos III, Majadahonda, 28220 Madrid, Spain; [email protected] (S.M.); [email protected] (I.C.) 3 Soil Microbiology Laboratory, Microbiology and Parasitology Department, Pharmacy and Bioanalys Faculty, Los Andes University, Mérida 5101, Venezuela; [email protected] (E.G.); [email protected] (A.R.) 4 Genomics Laboratory, Applied Services, Training and Research, Instituto de Salud Carlos III, Majadahonda, 28220 Madrid, Spain; [email protected] * Correspondence: [email protected]; Tel.: +34-91-822-3734; Fax: +34-91-509-7966 Received: 22 May 2020; Accepted: 11 June 2020; Published: 15 June 2020 Abstract: Nocardia species, one of the most predominant Actinobacteria of the soil microbiota, cause infection in humans following traumatic inoculation or inhalation. The identification, typing, phylogenetic relationship and antimicrobial susceptibilities of 38 soil Nocardia strains from Lara State, Venezuela, were studied by 16S rRNA and gyrB (subunit B of topoisomerase II) genes, multilocus sequence analysis (MLSA), whole-genome sequencing (WGS), and microdilution. The results were compared with those for human strains. Just seven Nocardia species with one or two strains each, except for Nocardia cyriacigeorgica with 29, were identified. MLSA confirmed the species assignments made by 16S rRNA and gyrB analyses (89.5% and 71.0% respectively), and grouped each soil strain with its corresponding reference and clinical strains, except for 19 N. cyriacigeorgica strains found at five locations which grouped into a soil-only cluster. The soil strains of N. cyriacigeorgica showed fewer gyrB haplotypes than the examined human strains (13 vs. 17) but did show a larger number of gyrB SNPs (212 vs. 77). Their susceptibilities to antimicrobials were similar except for beta-lactams, fluoroquinolones, minocycline, and clarithromycin, with the soil strains more susceptible to the first three (p 0.05). WGS was performed on four strains belonging to the soil-only cluster and ≤ on two outside it, and the results compared with public N. cyriacigeorgica genomes. The average nucleotide/amino acid identity, in silico genome-to-genome hybridization similarity, and the difference in the genomic GC content, suggest that some strains of the soil-only cluster may belong to a novel subspecies or even a new species (proposed name Nocardia venezuelensis). Keywords: Nocardia spp.; Nocardia cyriacigeorgica; soil; nocardiosis; gyrB; MLSA; WGS; antimicrobial resistance; potential new species/subspecies N. venezuelensis Microorganisms 2020, 8, 900; doi:10.3390/microorganisms8060900 www.mdpi.com/journal/microorganisms Microorganisms 2020, 8, 900 2 of 22 Importance This study highlights hitherto unreported identification, typing, phylogenetic relationships, and antimicrobial susceptibility among soil Nocardia strains, with special reference to N. cyriacigeorgica, the main species detected and one of the most common causes of human nocardiosis. The work also compares soil strains carrying seven Nocardia species with clinical strains isolated from humans, detecting only genetic and antimicrobial susceptibilities differences in N. cyriacigeorgica. Our findings suggest that some of the soil N. cyriacigeorgica strains detected may, in fact, belong to a new subspecies or even a new species (proposed name Nocardia venezuelensis). 1. Introduction Nocardia spp. species are found everywhere from sludge and soil to contaminated soil water, deep-sea sediments [1], and desert habitats [2]. Some even infect plants and animals [3–5]. They are among the most predominant Actinobacteria of the soil microbiota, including that of the extreme biosphere [6]. The members of Nocardia spp. are producers of diverse natural bioactive metabolites [7], such as antimicrobials, enzyme inhibitors, immunomodifiers, and plant growth-promoting substances, etc. [8,9], a result of the physiological and biochemical pressures imposed by the environmental conditions under which they live [10]. Their activity in the degradation of polycyclic aromatic hydrocarbon [11,12] focused on them as potential xenobiotic bioremediators. Although they cause a number of severe invasive diseases [3,13], the members of Nocardia spp. are mainly opportunistic pathogens in humans, usually affecting the lungs, central nervous system, and skin [14,15]. The burden of human nocardiosis differs between geographical locations. In previous work, Nocardia strains were isolated from soil collected at different sites in Lara State (Venezuela) [16], where the prevalence of human mycetoma (a severe cutaneous infection) is high. The present work examines the identity of these strains via 16S rRNA and gyrB genes analysis, together with multi-locus sequence analysis (MLSA), whole-genome sequencing (WGS), and susceptibilities. With a special focus on the most prevalent soil species detected, differences and similarities with clinical strains were explored. 2. Materials and Methods 2.1. Molecular Identification of Species In the present work, 38 phenotypically identified strains were submitted to the National Centre for Microbiology (CNM, Majadahonda, Madrid, Spain) for molecular identification. The strains were isolated from soil samples collected over two periods-08/2002 and 05/2006-from nine sites in six municipalities in Lara State, NW Venezuela (Figure1). Table1 shows the climatic characteristics of each site, and the Supplemental File the soil culture and the phenotypic identification previously described [16]. After growth on Columbia agar supplemented with 5% (v/v) sheep0s blood and buffered charcoal–yeast extract agar (BCYE) for 48–72 h at 37 ◦C under aerobic conditions, their chromosomal DNA was extracted by the boiling method. The 16S rRNA and gyrB genes were then amplified and sequenced as previously described [17], and species identified by comparing them against type strain sequences [18,19] using the BLAST algorithm v.2.2.10 (http://www.ncbi.nlm.nih.gov/BLAST). Similarity values of 99.6% for 16S rRNA [20], and 93.5% for gyrB, were deemed to indicate the ≥ ≥ same species [19]. Sequences were assembled using SEQ-Man software (DNASTAR, Inc., Madison, WI) and, using BioEdit [21], adjusted for phylogenetic analysis to coincide with the length of the shortest sequence for each reference strain (16S rRNA 1215 bp; gyrB 726 bp). They were then aligned using the ClustalW algorithm [22], and 16S rRNA and the gyrB phylogenetic trees constructed using MEGA 6 software [23] following the neighbor-joining (NJ) and maximum likelihood (ML) methods [24] with 1000 bootstrap replications. Microorganisms 2020, 8, 900 3 of 22 Table 1. Characteristics of the Nocardia spp. soil strains isolated in Lara State, Venezuela. Percentage Identity Percentage Identity Drug Latitude Species with Respect to with Respect to Location Temperature Sample Time Strain No. Resistance (N)/Longitude(W) Weather Type (16S rDNA) DMS 44484T DMS 44484T (Municipality) /Rainfall (m, yr) Phenotype and Altitude 16S rDNA gyrB 20110625 N. cyriacigeorgica 99.84% 99.4% CIP CLA Arenales (Torres) 10 9 11" Semi-arid ◦ 0 27 C/400mm August, 2002 69 54´12" ◦ continental 20110626 b,c,d N. cyriacigeorgica 100% 95.9% xl CIP CLA Arenales ◦ 517m 20110630 N. cyriacigeorgica 99.84% 93.1% Xl CLA Caraquita(Crespo) 20110631 N. cyriacigeorgica 99.84% 93.1% Xl CLA Caraquita 20110632 N. cyriacigeorgica 99.84% 93.0% XL cla Caraquita 20110634 N. cyriacigeorgica 99.84% 93.1% XL CLA Caraquita 10◦ 410 11" Subhumid 20110637 N. cyriacigeorgica 99.84% 93.1% CLA Caraquita 69◦ 050 11" 25 ◦C/743mm April, 2006 interior 20110638 N. cyriacigeorgica 99.84% 92.8% xl Caraquita 685m (transitional) 20110640 N. cyriacigeorgica 98.85% 93.1% CLA Caraquita 20110651 a,c N. cyriacigeorgica 99.84% 86.2% XL CLA CIP Caraquita 20110652 a,c N. vermiculata - - - Caraquita 20110643 a,c N. vermiculata - - CIP El Padrón (Torres) 10 20 44” Subhumid ◦ 0 May, 2006 70 28 59 ” 26 ◦C/921mm continental a,b,c N. elegans - - XL TOB CIP El Padrón ◦ 0 0 20110644 643m Subhumid 20110624 d N. cyriacigeorgica 99.92% 95.9% CLA Humocaro (Morán) 9o 40´57" August, 2002 continental 69o 58 12" 24 ◦C/700mm 20110658 cyriacigeorgica 99.84% 87.9% Xl CLA Humocaro (seasonal) 964m o Semi-arid 20110622 N. cyriacigeorgica 99.84% 93.3% CLA CIP Potrero de Bucare 10 18´51" 24 ◦C/700mm (Iribarren) 69o 27´45" 25 C/339mm continental 20110623 N. cyriacigeorgica 99.75% 98.2% CIP◦ August, 2002 711m Quebrada de Oro 20110627 a,c N. abcessus - - IMI CIP (Crespo) 20110628 N. abcessus - - IMI CIP Quebrada de Oro 20110633 N. cyriacigeorgica 99.84% 93.1% CLA Quebrada de Oro 20110635 a,c N. asteroides - - - Quebrada de Oro 20110636 N. cyriacigeorgica 99.92% 93.1% CIP cla Quebrada de Oro d 20110639 N. cyriacigeorgica 99.92% 92.6% CIP CLA Quebrada de Oro 10◦ 160 2" Subhumid 20110641 N. cyriacigeorgica 99.84% 93.1% CLA Quebrada de Oro 69◦ 20 22" 24 ◦C/1285mm April, 2006 interior 20110642 a,c N. cyriacigeorgica 99.84% 85.1% xl Quebrada de Oro 1278m (transitional) 20110645 N. cyriacigeorgica 99.84% 93.1% XL CLA min Quebrada de Oro 20110646 N. cyriacigeorgica 99.84% 93.1% XL CLA CIP Quebrada de Oro 20110647 N. cyriacigeorgica 100% 93.1% CLA Quebrada de Oro 20110648 d N. cyriacigeorgica 99.84% 92.8% CLA Quebrada de Oro 20110649 d N. cyriacigeorgica 99.84% 91.2% CLA Quebrada de Oro 20110650 N. cyriacigeorgica 99.92% 93.1% XL, CLA Quebrada de Oro Microorganisms 2020, 8, 900 4 of 22 Table 1. Cont. Percentage Identity Percentage Identity Drug Latitude Species with Respect to with Respect to Location Temperature Sample Time Strain No.
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    Aerobic Gram-Positive Bacteria Abiotrophia defectiva Corynebacterium xerosisB Micrococcus lylaeB Staphylococcus warneri Aerococcus sanguinicolaB Dermabacter hominisB Pediococcus acidilactici Staphylococcus xylosusB Aerococcus urinaeB Dermacoccus nishinomiyaensisB Pediococcus pentosaceusB Streptococcus agalactiae Aerococcus viridans Enterococcus avium Rothia dentocariosaB Streptococcus anginosus Alloiococcus otitisB Enterococcus casseliflavus Rothia mucilaginosa Streptococcus canisB Arthrobacter cumminsiiB Enterococcus durans Rothia aeriaB Streptococcus equiB Brevibacterium caseiB Enterococcus faecalis Staphylococcus auricularisB Streptococcus constellatus Corynebacterium accolensB Enterococcus faecium Staphylococcus aureus Streptococcus dysgalactiaeB Corynebacterium afermentans groupB Enterococcus gallinarum Staphylococcus capitis Streptococcus dysgalactiae ssp dysgalactiaeV Corynebacterium amycolatumB Enterococcus hiraeB Staphylococcus capraeB Streptococcus dysgalactiae spp equisimilisV Corynebacterium aurimucosum groupB Enterococcus mundtiiB Staphylococcus carnosusB Streptococcus gallolyticus ssp gallolyticusV Corynebacterium bovisB Enterococcus raffinosusB Staphylococcus cohniiB Streptococcus gallolyticusB Corynebacterium coyleaeB Facklamia hominisB Staphylococcus cohnii ssp cohniiV Streptococcus gordoniiB Corynebacterium diphtheriaeB Gardnerella vaginalis Staphylococcus cohnii ssp urealyticusV Streptococcus infantarius ssp coli (Str.lutetiensis)V Corynebacterium freneyiB Gemella haemolysans Staphylococcus delphiniB Streptococcus infantarius
  • Nocardia Bacteremia: a Single-Center Retrospective Review and A

    Nocardia Bacteremia: a Single-Center Retrospective Review and A

    International Journal of Infectious Diseases 92 (2020) 197–207 Contents lists available at ScienceDirect International Journal of Infectious Diseases journal homepage: www.elsevier.com/locate/ijid Nocardia bacteremia: A single-center retrospective review and a systematic review of the literature a,b, a,b,c a,b,c Eloise Williams *, Adam W. Jenney , Denis W. Spelman a Microbiology Unit, Alfred Health, 55 Commercial Rd, Melbourne, Victoria, Australia b Department of Infectious Diseases, Alfred Health, 55 Commercial Rd, Melbourne, Victoria, Australia c Department of Infectious Diseases, Monash University, Melbourne, Victoria, Australia A R T I C L E I N F O A B S T R A C T Article history: Objectives: Nocardia bacteremia is a rare but severe disease associated with high mortality. This Received 14 August 2019 systematic review is the largest and most comprehensive review performed over the past 20 years. Received in revised form 21 December 2019 Methods: A single-center retrospective review of Nocardia bacteremia was performed using hospital Accepted 13 January 2020 microbiology records from January 1, 2010 to December 31, 2017. A systematic literature review was also performed to identify cases of Nocardia bacteremia described in the NCBI PubMed database in English Keywords: between January 1, 1999 and December 31, 2018. Nocardia Results: Four new cases of Nocardia bacteremia are described. The systematic review identified 134 cases Nocardiosis with sufficient information available for analysis. Of the total 138 cases, the median age was 58 years Bacteremia (interquartile range (IQR) 44–69 years) and 70% were male. Eighty-one percent were immunocom- Central line-associated bloodstream infection promised (corticosteroid use (49%), hematological malignancy (20%), solid organ transplant (20%), Immunocompromise solid organ malignancy (19%), and hematopoietic stem cell transplantation (15%)) and 29% had endovascular devices.